Organization
MOUNTAIN WEST ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA WEST CRNA (PRESIDENT)
(573) 686-5550
Entity
Organization
Contact information
Practice address
1801 NORTH CARSON STREET, CARSON CITY, NV 89701
(573) 686-5550
Mailing address
209 SOUTH MAIN STREET, POPLAR BLUFF, MO 63901
(573) 686-5550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/13/2010
Last updated
10/14/2010
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